title: A Control-Based Multidimensional Approach to the Role of Optimism in the Use of Dementia Day Care Services.
abstract: We examined whether grounded optimism and external locus of control are associated with admission to dementia day care centers (DCCs). A total of 130 informal caregivers were recruited from the Alzheimer's Association in Salamanca (northwest Spain). All caregivers completed an assessment protocol that included the Battery of Generalized Expectancies of Control Scales (BEEGC-20, acronym in Spanish) as well as depression and burden measures. The decision of the care setting at baseline assessment (own home vs DCC) was considered the main outcome measure in the logistic regression analyses. Grounded optimism was a preventive factor for admission (odds ratio [OR]: 0.34 and confidence interval [CI]: 0.15-0.75), whereas external locus of control (OR: 2.75, CI: 1.25-6.03) increased the probabilities of using DCCs. Depression mediated the relationship between optimism and DCCs, but this effect was not consistent for burden. Grounded optimism promotes the extension of care at home for patients with dementia.
authors.affiliation: Department of Basic Psychology, Psychobiology and Methodology of Behavioral Sciences, University of Salamanca, Salamanca, Spain icontador@usal.es.
authors.forename: Israel
authors.initials: I
authors.lastname: Contador
authors.affiliation: Department of Psychology, Federal University of Paraiba, Paraiba, Brazil.
authors.forename: Bernardino
authors.initials: B
authors.lastname: Fernández-Calvo
authors.affiliation: Department of Personality, Assessment and Psychological Treatment, University of Salamanca, Salamanca, Spain.
authors.forename: David L
authors.initials: DL
authors.lastname: Palenzuela
authors.affiliation: Department of Personality, Assessment and Psychological Treatment, University of Salamanca, Salamanca, Spain.
authors.forename: Francisco Ramos
authors.initials: FR
authors.lastname: Campos
authors.affiliation: Department of Sociology and Communication, University of Salamanca, Salamanca, Spain.
authors.forename: Jesús
authors.initials: J
authors.lastname: Rivera-Navarro
authors.affiliation: Department of Internal Medicine, Federal University of Paraiba, Paraiba, Brazil.
authors.forename: Virginia Menezes
authors.initials: VM
authors.lastname: de Lucena
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology*; D003631:Day Care, Medical; D003704:Dementia / Q000628:therapy*; D003863:Depression / Q000175:diagnosis / Q000523:psychology*; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D000067656:Optimism / Q000523:psychology*; D013030:Spain
keywords: dementia; depression; family caregivers; nonpharmacological interventions; optimism